Title

A COMPREHENSIVE COURSE IN INSURANCE FRAUD AND INVESTIGATIVE WORKSHOP

Date

23 – 26 April, 2012

Duration

4 Days

Level  

Intermediate / Advance

Time

9.00 am to 5.00 pm

Venue

Seri Pacific Hotel Kuala Lumpur
Jalan Putra
50746 Kuala Lumpur,
Malaysia

Tel (603) 4042 5555
Fax (603) 4041 7236
E-mail: resv@seripacific.com
http://www.seripacifichotel.com

Trainer

1. Dr. You Sum Cheah
    MBA (Insurance & Financial Services), BBA (Hons) CFE, CII
2. Mr. Thinesh Subramaniam
    MBA (Insurance & Financial Services), BBA (Hons), CFE, CII

Key Learning Outcomes

Upon completion of the course, the participants should be able to:

• Gain an in-depth understanding of the insurance fraud
• Exposure of the insurance fraud and its relation to the terrorism and money laundering
• Identify and assess the various insurance fraud indicators in the claims management on the selected areas
• Appreciate the special features of fraud claims and to prepare the same for litigation in the court of law
• Exposures on the investigation inclusive of the investigation management through various case studies
• Preparation of a professional investigation report as a fraud investigator and analyzing the same from the desk as claims handler or manager

Key Course Content

DAY 1 - INTRODUCTION TO INSURANCE FRAUD

• Insurance Fraud in Malaysia
• Fraud examination methodology
• Fraud Theory
• Testing the hypothesis
• Toolkit for fraud detection
• Proof of fraud
• Theory of Crime

DAY 2 - INVESTIGATIONS OF FRAUD

• Analyzing documents
• Interview Theory and Application
• Covert Examination
• Different types of insurance fraud
• Red Flags of insurance fraud

DAY 3 - INVESTIGATION INSURANCE FRAUD 1

• Motor Insurance Fraud
• The types of motor insurance
  - Own Damage
  - Third Party Property Damage
  - Third Party Bodily Injury
  - Theft
• How to investigate it
• The current trends in theft schemes
• Anti-fraud measures
• Examples of true fraud claims - Case Study

DAY 4 - INVESTIGATING INSURANCE FRAUD 2

• Workers' Compensation Fraud
• Health Care Fraud
• Arson

The A to Z of Fraud Investigation: Investigation Techniques, Reporting & Analysis

• Interview and Interrogation
• Recorded Statement & Interviews
• The Use of Surveillance in an Insurance Investigation
• Surveillance Challenges
• Reporting the Investigation Findings
• Analysis of the Report

Course Fee Per Person

Fees Category

LOCAL

INTERNATIONAL

Single Registration

RM 2580

USD 1200

Group Registration

20% Discount will be given to the fourth and subsequent registration